2019 award full pages

4. IARA AWARD APPLICATION FORM
(Apply only through mail: iaraaward2019@gmail.com )
Passport
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Award Applied for ______________________________________
I. GENERAL INFORMATION :
1. Name (Capital Letters ) :
2. Gender :
3. Date of Birth :
4. Designation :
5. Department :
6. Specialization :
7. Institutional Address :
8. Residential Address :
9 Phone :
10 E-mail ID :
II. ACADEMIC INFORMATION
Qualification Name of Degree University/Institution
Year of
Passed
Division &
Percentage
1. UG
2. PG
3. M.Phil
4. Ph.D
5. Others
6.
7.
8.
III. TEACHING EXPERIENCE
S.No Name of Institution Period
1
2
3
4

5. IV. PROJECT/RESEARCH GUIDANCE:
No. of Candidates
Name of Degree Awarded Submitted Pursuing
Ph.D
M.Phil
PG
Others
V.RESEARCH PROJECTS (Major/Minor/Other Projects)
S.No Title of Project
Name of
Funding
Agency
Amount
(Rs.)
Duration
(Year)
Remarks
(Completed/
Pursuing)
1.
2.
3.
4
VI. SEMINARS/CONFERENCES/WORKSHOPS
Capacity State Level National Level International Level
Participated
Presented
Resource Person
Chair Person
Organised
Others
VII. PUBLICATION DETAILS
Publication No. of Publications
Published Accepted
Books
Edited Volume Of Books
Journals (National Level)
Journals (International Level)
VIII. ADMINISTRATIVE POSITION HELD
S.No Name of Position held
During the
Year
Name of College
1.
2.
3.
4.

6. IX. PARTICIPATION IN NSS, NCC, Sports, Cultural Activities, YRC, RRC, Voluntary
Association, Etc.
S.No
Name of Position held
During the
Year
Name of College
1.
2.
3.
4.
X.MEMBERSHIP IN ACADEMIC BODY
1.
2.
3.
4.
XI. MEMBERSHIP IN PROFESSIONAL BODY
1.
2.
3.
4.
XII.AWARDS RECEIVED
1.
2.
3.
4.
XIII. ANY OF OTHER INFORMATION
DECLARATION
I hereby declare that the information furnished is true to the best of my knowledge.
Date: Signature